Healthcare Provider Details

I. General information

NPI: 1336951201
Provider Name (Legal Business Name): BALLARD PHYSICAL THERAPY & SPORTS MEDICINE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2025
Last Update Date: 02/27/2025
Certification Date: 02/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

925 N US HIGHWAY 69
HUXLEY IA
50124-9738
US

IV. Provider business mailing address

925 N US HIGHWAY 69
HUXLEY IA
50124-9738
US

V. Phone/Fax

Practice location:
  • Phone: 515-597-3030
  • Fax: 515-597-3303
Mailing address:
  • Phone: 515-597-5512
  • Fax: 515-597-5292

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: LYNZY LENTZ
Title or Position: OWNER
Credential: DPT
Phone: 641-420-7919